ALUMNI CLUB

Alumni Club » Alumni Club Registration Form

REGISTRATION FORM

"I herein declare that I join the Alumni Club of Lazarski University."

obligatory data *
Personal data
First name *
Surname *
Maiden name
Place of birth *
Date of birth     (d m y) *
Number of register
(does not apply to the case of graduating only post-graduate studies, MBA or doctoral studies)
*

Contact data
Home telephone
Mobile phone *
E-mail *

Place of residence address
Town *
Zip code- *
Street *

Address for correspondence
The same as place of residence
Town *
Zip code- *
Street *

Workplace data
I don't work
Name of company *
Address
Telephone
Line of business *
Post *

Education (university studies)
I graduated at the Lazarski University only post-graduate studies, MBA or doctoral studies.

I graduated from Lazarski University in (year) *
I passed graduation examination defending my: *
Department *
Field of studies in: *
I graduated in another field of studies

Education (post graduate studies, MBA, doctoral studies)
I graduated from *
Name of university *
Name of studies *
Graduation year *
I do not want to participate in the Alumni Club Card Project

Alumni Club Card
Method of card delivery *
Are you interested in participating in the project as a company representative?
I got acquainted with the Graduates’ Club Card Project Information.
*

Additional information
Do you want to take active part in the Alumni Club activities? Yes   No
I hereby give consent to Lazarski University based in Warsaw, 43 Świeradowska Street, to use and process my personal data for the purpose of obtaining membership in the Alumni Club of Lazarski University in accordance with Article 6 par. 1 (a) General Data Protection Regulation of 27 April 2016 (OJ L 119 of 04.05.2016).*
I hereby give consent to Lazarski University based in Warsaw, 43 Świeradowska Street, to send marketing information to me by electronic mail in the form of emails and/or short massages concerning Lazarski University or Lazarski University business partners participating in the provision of services in accordance with Article 10 Act on the provision of electronic services and Article 172 Act: Telecommunications Law.
I hereby give consent to Lazarski University based in Warsaw, 43 Świeradowska Street, to use and process my personal data for the purpose of setting up an email account (Windows Live) @ lazarski.pl
I hereby declare that the information I have provided is truthful and I know about legal liability for the provision of untrue data. *

In accordance with Article 13 General Data Protection Regulation of 27 April 2016 (OJ L 119 of 04.05.2016), we inform you that:

  1. Lazarski University based in Warsaw, postcode 02-662, 43 Świeradowska Street, is the controller of your personal data.
  2. The controller has appointed a data protection officer available on iod@lazarski.edu.pl.
  3. Your personal data shall be processed for he purpose of your membership in the Alumni Club of Lazarski University, in accordance with Article 6 par. 1 (a) GDPR.
  4. The controller shall process your personal data for the purpose of:
    1. organising events, conferences, contests, promotional campaigns and surveys, in accordance with Article 6 par. 1 (f) GDPR; the promotion of Lazarski University own services and maintaining contact with graduates who constitute an integral part of the University academic community are based on the reasonable interest;
    2. carrying out promotional and advertising campaigns and other trade activities connected with the controller’s educational services, including in the form of mailing and short massages, in accordance with Article 6 par. 1 (a) GDPR;
    3. fulfilling obligations resulting from mutual agreements concerning informing about partners and their services and products, including in the form of mailing, in accordance with Article 6 par. 1 (a) GDPR;
    4. implementing promotional campaigns and establishing a positive image of the controller in public space and the media, in accordance with Article 6 par 1 (a) GDPR;
    5. setting up an email account (Windows Live) @lazarski.pl, in accordance with Article 6 par.1 (a) GDPR;
    6. participation in the project Alumni Club Card, in accordance with Article 6 par. 1 (a) GDPR.
  5. Your personal data shall not be subject to automated processing and profiling.
  6. Your personal data shall be retained:
    1. in case of processing for the needs of marketing the University own products based on the reasonable interest, until the interest exists or the data subject objects processing,
    2. in case of giving consent to the processing of personal data, until the withdrawal of the consent.
  7. The recipients of your data may only include entities authorised to have access to personal data in accordance with the provisions of the law, authorised employees and entities who the controller requested and commissioned to process data, e.g. program providers, hosting businesses and firms destroying documents.
  8. You shall have the right to demand that the controller give you access to your personal data, the right to rectification, the right to erasure, the right to restriction of processing at any time and the right to data portability. If you give consent to process your data, you shall also have the right to withdraw your consent at any time (with no effect on the lawfulness of the processing conducted before the withdrawal of this consent).
  9. You shall have the right to object to your data processing at any time, due to your extraordinary situation, based on Article 6 par. 1 (f) GDPR; in case of processing for the needs of direct marketing, you have the right to object at any time regardless of an extraordinary situation.
  10. You shall have the right to complain to a supervisory authority: the President of the Personal Data Protection Office.
  11. The provision of personal data is voluntary, however, necessary in order to perform the tasks for which they are collected. Failure to provide personal data may result in the inability to become a member of the Alumni Club.